2010
DOI: 10.1186/1479-5876-8-s1-p64
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Eight years of experience with biological treatment in juvenile idiopathic arthritis

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“…Biological treatment found to be safe and effective in severe JIA or refractory cases to synthetic DMARDs (33) , in our cohort biological agents were used in 105/210 (50%), and they include Anti-TNF (Tumor necrosis factor) which is a cytokine play role in the pathogenesis of JIA and found in increased levels in the synovial uid. Tocilizumab a monoclonal antibody directed against IL-6 receptor; increased serum levels found in systemic arthritis, Anakinra is a human recombinant IL-1 receptor antagonist and play a role in the pathogenesis of JIA and is a preferred treatment of systemic arthritis, Rituximab is a human monoclonal antibody directed against CD20 lymphocytes leading to increase B-cell apoptosis and decrease mature B cell expressing CD20 (34) , anti-TNF drugs were used in our cohort in 74/210 (35.2%) in which in iximab was the commonest anti-TNF used 30/210 (14.2%), followed by Etanercept 25/210 (12%) while Adalimumab was used in 15/210 (7.1%) and Golimumab in four patients (1.9%).…”
Section: Discussionmentioning
confidence: 96%
“…Biological treatment found to be safe and effective in severe JIA or refractory cases to synthetic DMARDs (33) , in our cohort biological agents were used in 105/210 (50%), and they include Anti-TNF (Tumor necrosis factor) which is a cytokine play role in the pathogenesis of JIA and found in increased levels in the synovial uid. Tocilizumab a monoclonal antibody directed against IL-6 receptor; increased serum levels found in systemic arthritis, Anakinra is a human recombinant IL-1 receptor antagonist and play a role in the pathogenesis of JIA and is a preferred treatment of systemic arthritis, Rituximab is a human monoclonal antibody directed against CD20 lymphocytes leading to increase B-cell apoptosis and decrease mature B cell expressing CD20 (34) , anti-TNF drugs were used in our cohort in 74/210 (35.2%) in which in iximab was the commonest anti-TNF used 30/210 (14.2%), followed by Etanercept 25/210 (12%) while Adalimumab was used in 15/210 (7.1%) and Golimumab in four patients (1.9%).…”
Section: Discussionmentioning
confidence: 96%
“…Biological treatment has been found to be safe and effective in severe JIA or refractory cases to synthetic DMARDs (33) . In our cohort, biological agents were used in 105 (50%) patients.…”
Section: Discussionmentioning
confidence: 99%
“…Biological treatment has been found to be safe and effective in severe JIA or refractory cases to synthetic DMARDs [ 35 ]. In our cohort, biological agents were used in 105 (50%) patients.…”
Section: Discussionmentioning
confidence: 99%